RN Clinical Documentation Improvement Specialist
The CDI Specialist is an integral part of the healthcare team and is responsible for ensuring that the patient record contains clinical documentation that is clear, concise, and clinically accurate to meet the goals of the CDI program. The CDI Specialist serves as part of the team responsible for improving the concurrent documentation practices in the hospital through ongoing education and works with physician clinical documentation, coding and reimbursement processes towards achieving quality and productivity goals.Minimum of five (5) years clinical experience or coding/reimbursement experience in acute care environmentCurrent CDI certification preferred (must obtain within 18 months of employment through Association of Clinical Documentation Improvement Specialists/ACDIS OR American Health Information Management Association/AHIMA)Experience in practice of clinical documentation: nursing health information, case management, quality management or similar related fieldKnowledge of AZ State charting requirements Knowledge of diagnoses/procedures in accordance with ICD-9 CM & CPT-4 coding principlesKnowledge of all state, federal and private reimbursement systemsAbility to work effectively with physicians, nurses and ancillary staff in a collaborative mannerAbility to provide education to diverse group/teams within the healthcare environment.
Required to work out of Steward Health Care office located in Richardson, TX with minimal travel requirements.
Proficient in computer skills with many softwares including, but not limited to, charting softwares, MS Office Suite, Lotus Notes.Ability to analyze large amounts of date, identify problems, patterns, trends/facilitate improvement actions neededAbility to multi-task and take initiative to suggest process improvementsProven organization, analytical skills to identify patterns and trends.Ability to read and communicate effectively in English Equal Opportunity Employer Minorities/Women/Veterans/Disabled